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Carbon Ion Radiotherapy for Locally Advanced Adenocarcinoma of the Uterine Cervix

https://repo.qst.go.jp/records/54285
https://repo.qst.go.jp/records/54285
b53ef935-17e7-4417-956e-d9fcd5e7f1b1
Item type 会議発表論文 / Conference Paper(1)
公開日 2011-02-17
タイトル
タイトル Carbon Ion Radiotherapy for Locally Advanced Adenocarcinoma of the Uterine Cervix
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_5794
資源タイプ conference paper
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Kato, Shingo

× Kato, Shingo

WEKO 554471

Kato, Shingo

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Kiyohara, Hiroki

× Kiyohara, Hiroki

WEKO 554472

Kiyohara, Hiroki

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Tsujii, Hirohiko

× Tsujii, Hirohiko

WEKO 554473

Tsujii, Hirohiko

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Suzuki, Michiya

× Suzuki, Michiya

WEKO 554474

Suzuki, Michiya

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加藤 眞吾

× 加藤 眞吾

WEKO 554475

en 加藤 眞吾

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清原 浩樹

× 清原 浩樹

WEKO 554476

en 清原 浩樹

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辻井 博彦

× 辻井 博彦

WEKO 554477

en 辻井 博彦

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鈴木 通也

× 鈴木 通也

WEKO 554478

en 鈴木 通也

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抄録
内容記述タイプ Abstract
内容記述 Purpose: To evaluate the toxicity and efficacy of carbon ion radiotherapy (CIRT) for locally advanced cervical adenocarcinoma by phase I/II dose-escalation study.
\nMethods and Materials: Between April 1998 and August 2008, 45 patients with cervical adenocarcinoma were treated with CIRT. Histologically, 36 patients had adenocarcinomas and 9 had adenosquamous carcinomas. Fifteen patients had stage IIB, 28 had stage IIIB, and 2 had stage IVA disease. The dose of the whole pelvic irradiation was fixed at 36.0 gray equivalent (GyE) in 12 fractions, and an additional dose of 26.4-38.4 GyE in 8 fractions was delivered to the cervix (total dose: 62.4-74.4 GyE). The dose to the GI tracts was limited to less than 60 GyE. The median follow-up duration for all patients was 23 months (range, 6-93 months).
\nResults: No patient developed severe acute toxicity. No patient developed major late complications except for one patient with a rectovaginal fistula. Local control was obtained in 4 of the 7 patients receiving a total of 62.4-64.8 GyE, in 7 of the 10 patients receiving 68.0 GyE, in 17 of the 21 patients receiving 71.2GyE, and in all of 7 patients receiving 74.4 GyE. The 5-year overall survival rates for all patients and the 33 patients with stage IIIB or IVA disease were 43% and 42%, respectively.
\nConclusions: Although the number of patients was small, the results have suggested that CIRT provided favorable local tumor control and overall survival with acceptable rates of late complications in the treatment of locally advanced cervical adenocarcinoma.
書誌情報 NIRS-IMP Joint Symposium on Carbon Ion Therapy

巻 NIRS-M, 号 225, p. 67-74, 発行日 2009-08
出版者
出版者 National Institute of Radiological Science
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